Patient Experience Coordinator, RN

7 days ago

Olathe, Kansas, United States Spira Care Full time

About Spira Care

Spira Care is an innovative solution to simplifying healthcare, designed by Blue Cross and Blue Shield of Kansas City in collaboration with community members. Our advanced primary care practice has nine Care Centers located throughout the Kansas City area, each housing integrated Care Teams made up of medical providers, clinical support staff, and non-clinical patient-focused team members.

Salary: $85,000 - $110,000 per year

Job Description:

The Patient Experience Coordinator, RN plays a crucial role within our Care Team, ensuring patients receive seamless healthcare experiences. This position manages member interactions at Spira Care, assisting members in navigating healthcare complexities. The ideal candidate will leverage various skill sets to provide a personalized healthcare experience, blending administrative, educational, and care coordination functions.

Key Responsibilities:

Establishes trusted partnerships with patients in face-to-face and phone settings, building credibility through knowledge sharing and collaboration around healthcare needs.Completes patient assessments by collecting and analyzing information, developing, and implementing individualized care plans with appropriate interventions in a culturally sensitive manner.Monitors the effectiveness of care plans by gathering sufficient information from relevant sources to intervene, as necessary, to improve health outcomes.Determines appropriate intervals for monitoring care plans, utilizing internal, community, and other healthcare resources to maximize outcomes.Provides high-quality customer service in face-to-face and phone interactions with patients, providers, and community organizations.Liaises between patients, employers, providers, support systems, and Blue Cross Blue Shield of Kansas City, working with multiple members of the healthcare team to foster continuity and coordination of care.Utilizes all forms of communication effectively to maximize collaborative relationships (including incoming/outgoing phone calls, in-person consultations, written communications such as email, web-based messaging, and other relevant communication channels).

Requirements:

To be successful in this role, you will need:

An Associate or Bachelor's degree in Nursing.A valid and active Registered Nurse (RN) license in Kansas and Missouri or a multi-state compact license.BLS certification from the American Red Cross or American Heart Association.Maintain licensures and certifications throughout employment.5 years of healthcare experience.3 years of full-time direct patient care and clinical experience in medical/surgical, pediatrics, or obstetrics.Intermediate-level knowledge of Clinical Guidelines.Previous experience in customer service or serving customers in some direct capacity. Phone experience is preferable but not required.Advanced keyboarding knowledge.Intermediate knowledge of Microsoft applications, including Word, Excel, PowerPoint, and OneNote.

Preferred Qualifications:

Bachelor's degree in nursing.Case Management Certification.5 years' experience, including at least three years of Care/Case/Disease Management, Health Plan, or Utilization Review experience.Thorough understanding of advanced primary care and the Patient-Centered Medical Home (PCMH)/Primary Care First (PCF) model.Understanding of Affordable Care Act and Medicare/CMS.Thorough knowledge of URAC and NCQA guidelines and state and federal regulations.Experience working with Health and Wellness programs or an understanding of wellness principles.Intermediate level knowledge of athena EMR application.Intermediate level knowledge of FACETS UM, CM, and claims applications.Intermediate level knowledge of GuidingCare application.

Benefits:

Spira Care offers a comprehensive benefits package, including:

A highly competitive total rewards package, including comprehensive medical, dental, and vision benefits, as well as a 401(k) plan that both the employee and employer contribute.An annual incentive bonus plan based on company achievement of goals.Time away from work, including paid holidays, paid time off, and volunteer time off.Professional development courses, mentorship opportunities, and tuition reimbursement programs.Paid parental leave and adoption leave with adoption financial assistance.Employee discount program.

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